Organization
GREEN RIVER HEART INSTITUTE, P.S.C.
Active
Organization
GREEN RIVER HEART INSTITUTE, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER J. HAVELDA M.D. (PRESIDENT)
(270) 688-0808
Entity
Organization
Contact information
Practice address
815 E PARRISH AVE, SUITE 240, OWENSBORO, KY 42303-3222
(270) 688-0808
(270) 683-5806
Mailing address
815 E PARRISH AVE, SUITE 240, OWENSBORO, KY 42303-3222
(270) 688-0808
(270) 683-5806
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100006330A
—
IN
01
—
15E1
ANTHEM BCBS
KY
05
—
65935561
—
KY
Enumeration date
08/20/2006
Last updated
07/23/2008
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